Urgent double switch operation in a patient with congenitally corrected transposition of great arteries and an untrained systemic ventricle

Mehmet Salih Bilal

doi:10.5606/tgkdc.dergisi.2020.18109

Mehmet Salih Bilal¹, Arda Özyüksel^1,2, Mustafa Kemal Avşar¹, Özgür Yıldırım¹

¹Department of Cardiovascular Surgery, Medicana International Istanbul Hospital, Istanbul, Turkey
²Department of Cardiovascular Surgery, Biruni University, Istanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2020.18109

Congenitally corrected transposition of the great arteries is a rare cardiac abnormality. A nine-month-old male infant with the diagnosis of congenitally corrected transposition of the great arteries was admitted to our clinic with a history of pulmonary artery banding to train the left ventricle three months ago. On admission, he presented with bronchopneumonia, cyanosis, dyspnea, and severe biventricular heart failure associated with significant valvular regurgitation. An urgent double switch operation was performed with atrial and arterial switch procedures. Eight days of mechanical circulatory support was deemed mandatory following surgery. The patient is still under follow-up uneventfully three years after the operation.

Keywords : Congenitally corrected transposition of the great arteries, double switch procedure, intact interventricular septum, pulmonary artery banding

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